Provider Demographics
NPI:1295272805
Name:GARGOTTA, HILLARY ROBIN (FNP-C)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:ROBIN
Last Name:GARGOTTA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 S JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3919
Mailing Address - Country:US
Mailing Address - Phone:972-526-5597
Mailing Address - Fax:972-634-7344
Practice Address - Street 1:114 S JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3919
Practice Address - Country:US
Practice Address - Phone:972-526-5597
Practice Address - Fax:972-634-7344
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-21
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132118363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care